Efficacy of Laser Acupuncture on Carpal Tunnel Syndrome Following Hand Flexor Tendon Repair

Inclusion Criteria: * Adults aged 20-40 years who have undergone flexor tendon repair surgery. * Patients who have undergone primary or secondary repair of flexor tendons in the hand at zone 4 (zone of carpal tunnel as it often be complicated by postoperative adhesions due to close quarters and synovial sheath of the carpal tunnel) (Fulchignoni C et al., 2020). * Surgery occurred within a specific timeframe, often within 6-12 weeks prior to inclusion (Peters SE, Jha B, Ross M., 2021). * Patient have clinical and electro diagnostic evidence of CTS. * All patients enrolled to the study will have their informed consent. Exclusion Criteria: * Pre-existing neurological disorders. * Systemic illnesses affecting nerve function (e.g., diabetes). * Contraindications to laser therapy. * Pregnancy or breastfeeding. * Active infections or open wounds in the hand or wrist. * Previous history of carpal tunnel release surgery or received an injection of steroid for CTS. * Previous history of brachial plexus injury or median nerve injury. * Other severe neurological or musculoskeletal conditions. * Epilepsy or any psychological disorders. * Cancer. * Spots over the treated points. * Pacemaker or implanted devices.